Basic Information
| Provider Information | |||||||||
| NPI: | 1518955814 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | SNYDER HEALTHCARE CENTER | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5311 BIG SPRING HWY | ||||||||
| Address2: | |||||||||
| City: | SNYDER | ||||||||
| State: | TX | ||||||||
| PostalCode: | 795496347 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3255736332 | ||||||||
| FaxNumber: | 3255737601 | ||||||||
| Practice Location | |||||||||
| Address1: | 5311 BIG SPRING HWY | ||||||||
| Address2: | |||||||||
| City: | SNYDER | ||||||||
| State: | TX | ||||||||
| PostalCode: | 795496347 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3255736332 | ||||||||
| FaxNumber: | 3255737601 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/11/2005 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | COLLIER | ||||||||
| AuthorizedOfficialFirstName: | DEBBIE | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | DON | ||||||||
| AuthorizedOfficialTelephone: | 3255736332 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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| AuthorizedOfficialCredential: | RN | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 314000000X | 110350 | TX | Y | Nursing & Custodial Care Facilities | Skilled Nursing Facility |
No ID Information.